Organization
BETHEL PSYCHIATRIC SERVICES PLLC
Active
Parent organization
BETHEL PSYCHIATRIC SERVICES PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETHEL PSYCHIATRIC SERVICES PLLC
Authorized official
AJIBADE ADELADAN MD (OWNER)
(646) 542-9385
Entity
Organization
Contact information
Practice address
5062 S ESPANA CT, CENTENNIAL, CO 80015-5805
(303) 766-5074
(303) 766-8374
Mailing address
5062 S ESPANA CT, CENTENNIAL, CO 80015-5805
(646) 542-9385
(303) 766-8374
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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